fecal diversions Flashcards
adynamic bowel obstruction
no structural change, related to an illeus (part of bowel not moving)
ascending colostomy
very rare. stomas will usually be on the right side.
descending colostomy
most common. distal part of colon. usually rectum and sigmoid colon. on the left side. effluent thicker. can regulate poop over time.
ileostomy
in ileum. temporary ones can be reversed.
ostomies - be careful
with skin care. be mindful of fluid intake - monitor for dehydration. even after reversal they usually have b12 deficiencies.
Ileoanal reservoir ex.
J pouch
S pouch
Ileoanal reservoir
reservoir made of bowel. can poop normally or goes into tube.
stoma
proximal brought through the wall of skin
loop stoma
entire loop brought through. they are easily reversed.
stoma bleeding
a little is normal but should be scant
stoma after surgery might be a little
edema. should be back to normal 6-8 weeks after surgery.
if stoma is nectrotic at risk for
peritonitis
mucocutaneous junction
stoma approximated to surrounding skin. sutures should be intact. treated as a wound. shouldn’t have tension and should be attached.
measure height from
mucocutaneous junction
koch pouch (inside kochy)
internal pouch. pt inserts a tube 4-6 times a day
